Fit for Work – a

Paradigm Shift in OHChris Rhodes Chief Nursing Officer17th June 2015

Introduction

3 Presentation title

What was the driver for creating Fit for Work?

• More than 900,000 absences of four weeks or more each year in the UK

• Much reduced chance of no return to work after 4 weeks without intervention and 600,000 people fall into our benefits system each year

• For most people, their work is a key determinant of self-worth, family esteem, identity and standing within the community, besides, of course, material progress and a means of social participation and fulfilment (Dame Carol Black, 2008)

4 Presentation title

• Fit for Work aims to ensure some form of OH intervention is available to all – currently OH services are available to around 30% of the UK population

• Part of the aim is to support employees back into work without always requiring 100% fitness to achieve this

• All assessments use a bio psycho social approach to ensure that these factors and behaviours are considered

5 Presentation title

What Fit for Work cannot do

• No health surveillance/ statutory medicals

• Assessment of fitness for employment

• Short term absence referral support

• Case Management after the 3 month point of an absence

• Health promotion activity

Scope

7

Service Scope: what the DWP has asked for

• An Advice Service – phone line and website – open to all, for general queries about matters affecting work and health

• A voluntary Return to Work Service for employees who are off work due to sickness

• GPs can make referrals at any stage, at the GP’s discretion, when the absence is likely to last for 4 weeks or more (but ideally certify for 1-2 weeks)

• Employers can make referrals after 4 weeks of sickness absence

• Not for the self-employed, and no self-referrals• The output of the service is a Return to Work Plan agreed with

the employee, which functions as evidence of fitness for work• The assessment and RtWP development is carried out by a

health professional

The team and case management

Case managementWho do they need to work with?

Case Manager

Employer

Employee

3rd Parties

GP

In Line Manager

In

In

OH service providers

Practice Manager

9

In HR Manager

In Telephone / Face to Face

In Specialist Suppliers

Influence

Your Six Powers

of Influence

Consistency“People align with

their clear commitments”

Authority“People defer to

experts”

Liking“People like

those who like them”

Reciprocity“People repay in

kind”

Social Proof“People follow

the lead of similar others”

Scarcity“People want more of what

they can’t have”

Make their commitments active, public and voluntary

Reveal your expertise and don’t assume it is self evident

Highlight the unique benefits and exclusivity of the service

Identify real similarities between you and the other person and offer genuine praise

Give of your time and experience freely at a level you would want to receive

Use examples of others and particularly peers to demonstrate the value

References: How to win friends and influence people – Dale CarnegieThe Science of influence – Robert Cialdini

What if the employee already has access to OH?

12 Presentation title

• The initial referral to Fit for Work will always proceed

• Our aim is very much to complement existing OH services and not replace

• If it is established that there is access to OH services – the Case Manager will suggest the employer refers on for any further action

• With the employee consent, Fit for Work may contact OH services directly

• With consent a copy of the report can be sent to the OH provider, or the employee can forward directly to OH services

How it works

The Referral Process

14

15

Sample Return to Work Plan – Employee’s version

• Covering letter explaining the RtWP• Obstacles and recommendations – as many sections as neededObstacle     Share with

GPShare with Employer

 <<Obstacle Title>>

     Y/N Y/N

 Recommendations:

       

Recommendation goes here…

 Completion date: <<Date>>  

Signposting:Signposting…

 Completion date: <<Date>>. 

• Next contact point with Fit for Work and FAQs• Summary of RtWP to provide an overview for the employee and

function as a Fit Note• Statutory declaration page for employee to claim state benefits

SAMPLE RTWP - EMPLOYEE

Timetable and Next Steps

17

Timetable and roll-out plans

• Stakeholder Liaison• Already underway in conjunction with DWP – discussions with

representative groups for GPs, employers and employees to build awareness

• Controlled start• December 2014 – Advice Service available www.fitforwork.org

• Roll-out in England and Wales• The service went live in North Wales and Sheffield 9th March with

roll out nationally throughout the year. Employers can refer from Autumn onwards.

18 Presentation title

Roll out map

Fit for WorkAny questions?

Thank you for your time.

19